Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.97 / $292.58 / $14,464.32	Facility		$53.97	$292.58	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.57 / $92.17 / $226.84	Professional		$30.57	$92.17	$226.84
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $93.65 / $1,461.50 / $2,982.61	Facility		$93.65	$1,461.50	$2,982.61
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $52.90 / $190.86 / $820.59	Professional		$52.90	$190.86	$820.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.33 / $122.33 / $203.80	Facility		$122.33	$122.33	$203.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.58 / $124.88 / $307.99	Professional		$48.58	$124.88	$307.99
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $53.41 / $137.31 / $331.87	Facility		$53.41	$137.31	$331.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.41 / $127.32 / $261.52	Professional		$53.41	$127.32	$261.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.02 / $167.03 / $276.01	Professional		$26.02	$167.03	$276.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $59.49 / $190.28 / $223.50	Facility		$59.49	$190.28	$223.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.65 / $134.99 / $137.10	Facility		$93.65	$134.99	$137.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.12 / $98.96 / $254.10	Professional		$53.12	$98.96	$254.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,011.08 / $1,549.85 / $2,982.61	Facility		$1,011.08	$1,549.85	$2,982.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $51.96 / $100.11 / $232.20	Professional		$51.96	$100.11	$232.20
United Facility/Professional Facility Modifier Low / Median / High Price $190.00 / $666.00 / $6,216.00	Facility		$190.00	$666.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $124.95 / $215.96 / $303.33	Professional		$124.95	$215.96	$303.33